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    <title>奖品兑换</title>
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           <div class="gr_title">
                    <span class="arrow"></span>个人空间
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                <li class="selected selected_first"><a href="">账户设置</a></li>
                <li><a href="">修改密码</a></li>
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                <li><a href="">个人积分<span class="pink">(新)</span></a></li>                     
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       <h1>我的积分</h1>
       <div class="filter_main">
        <ul class="filter">
            <li><a href="">我的积分</a></li>
            <li class="current"><a href="">积分兑换</a></li>
            <li><a href="">积分兑换记录</a></li>
            <li><a href="">积分规则</a></li>
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        <!--兑换-->
         <div class="warn">
             <span class="warn_ico"></span>
             <span class="warn_content"> 为保证您顺利收到奖品，请正确填写以下必填信息</span>
          </div>
          
          <div class="jp_xx">
            <div class="tit"><h2>奖品信息</h2></div>
               <div class="xq_pic">
                <a class="integral-img"><img src="images/aboutus.jpg">肯德基新奥尔良烤翅一份</a>
                </div>
        
          <div class="jp_left">
          <table class="jptable">
          <tr>
            <td width="122" align="right" valign="middle">奖品名称：</td>
            <td width="357">积分通500乐点充值券</td>
          </tr>
          <tr>
            <td align="right" valign="middle">奖品数量：</td>
            <td><q class="add_subtract" id="btn_subnum">-</q><input name="num" class="award_count" id="award_num" type="text" value="1"/><q class="add_subtract" id="btn_addnum">+</q></td>
          </tr>
          <tr>
            <td align="right" valign="middle">所需积分：</td>
            <td><span class="red">100</span>积分</td>
          </tr>
          <tr>
            <td align="right" valign="middle">备 注：</td>
            <td> <textarea name="textarea" id="textarea" cols="45" rows="5"></textarea></td>
          </tr>
        </table>
        </div>
     
          </div>
          
           <div class="shr_xx">
            <div class="tit"><h2>收货人信息</h2></div>
             
             <div class="shr_kj"> 
                <DIV class=addr_item>
              <INPUT id=btn_select_3558 class=btn_select CHECKED type=radio value=3558 name=AddressID>
              <SPAN> 张华健，江苏 南京市 建邺区 奥体大街118号紫金西城1幢303 ，13814022684 </SPAN>
              <SPAN>&nbsp;&nbsp; </SPAN>
              <Q class=btn_edit>取消</Q>
               <Q class=btn_del>删除</Q>
               <Q class=btn_default>默认地址</Q>
               </DIV>
               <div class="ycshr">
                        <table class="shrtable">
                  <tr>
                    <td width="105" align="right">收货人姓名：</td>
                    <td width="471" ><label for="textfield"></label>
                    <input class="inp" name="textfield" type="text" id="textfield" value="张华建" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">联系电话：</td>
                    <td><input class="inp" name="textfield2" type="text" id="textfield2" value="13814022684" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">邮寄地区：</td>
                    <td>
                    <select class="xlw" name="select" id="select">
                      <option>江苏省</option>
                       <option>安徽省</option>
                    </select>
                    <select class="xlw" name="select2" id="select2">
                      <option>南京市</option>
                      <option>合肥市</option>
                    </select>
                    <select class="xlw" name="select3" id="select2">
                      <option>栖霞区</option>
                      <option>来安县</option>
                    </select><FONT class=require>*</FONT>
                    </td>
                  </tr>
                  <tr>
                    <td align="right">详细地址：</td>
                    <td><label for="textfield3"></label>
                    <input class="inp" name="textfield3" type="text" id="textfield3" value="奥体大街118号紫金西城1幢303" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">邮政编码：</td>
                    <td><input class="inp" name="textfield4" type="text" id="textfield4" value="210019" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">电子邮箱：</td>
                    <td><label for="textfield5"></label>
                    <input class="inp" name="textfield5" type="text" id="textfield5" value="zhanghuajian@meiti.com" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">设置默认：</td>
                    <td><input type="checkbox" name="checkbox" id="checkbox" />
                      <label for="ctrlcheckboxisdefaultInput">设置为默认地址</label>
                    <span class="tion">设置后系统将在兑换时自动选中该收获地址</span></td>
                  </tr>
                  <tr>
                    <td>&nbsp;</td>
                    <td><BUTTON id=ctrlbutton_innerui_23 class="baocun-button" type=submit >保存</BUTTON>
                    <BUTTON id=ctrlbutton_innerui_23 class="quxiao-button" type=submit>取消</BUTTON></td>
                  </tr>
                </table>
                </div>
              </div>
              
              <div class="shr_kj"> 
                    <DIV class=addr_item>
              <INPUT id=btn_select_3558 class=btn_select CHECKED type=radio value=3558 name=AddressID>
              <SPAN> 添加新地址</SPAN>
               </DIV>
                <div class="ycshr">
                        <table class="shrtable">
                  <tr>
                    <td width="105" align="right">收货人姓名：</td>
                    <td width="471"><label for="textfield"></label>
                    <input class="inp" name="textfield" type="text" id="textfield" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">联系电话：</td>
                    <td><input class="inp" name="textfield2" type="text" id="textfield2" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">邮寄地区：</td>
                    <td>
                    <select class="xlw" name="select" id="select">
                      <option class="diyu_def">选择地域</option>
                    </select>
                  
                    </select><FONT class=require>*</FONT>
                    </td>
                  </tr>
                  <tr>
                    <td align="right">详细地址：</td>
                    <td><label for="textfield3"></label>
                    <input class="inp" name="textfield3" type="text" id="textfield3" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">邮政编码：</td>
                    <td><input class="inp" name="textfield4" type="text" id="textfield4" /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">电子邮箱：</td>
                    <td><label for="textfield5"></label>
                    <input class="inp" name="textfield5" type="text" id="textfield5"  /><FONT class=require>*</FONT></td>
                  </tr>
                  <tr>
                    <td align="right">设置默认：</td>
                    <td><input type="checkbox" name="checkbox" id="checkbox" />
                      <label for="ctrlcheckboxisdefaultInput">设置为默认地址</label>
                    <span class="tion">设置后系统将在兑换时自动选中该收获地址</span></td>
                  </tr>
                  <tr>
                    <td>&nbsp;</td>
                    <td><BUTTON id=ctrlbutton_innerui_23 class="baocun-button" type=submit >保存</BUTTON>
                    <BUTTON id=ctrlbutton_innerui_23 class="quxiao-button" type=submit>取消</BUTTON></td>
                  </tr>
                </table>
                </div>
              </div>
              
              <div class="caozuo_butn">
              <BUTTON id=ctrlbutton_innerui_23 class="baocun-button" type=submit >确认兑换</BUTTON>
              <BUTTON id=ctrlbutton_innerui_23 class="quxiao-button" type=submit>取消</BUTTON>
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